go back

Ankle-Foot Orthosis, Prefabricated

North Carolina rates for HCPCS L1930

Ankle-foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment

Rates data updated July 2026.

How much does Ankle-Foot Orthosis, Prefabricated cost?

$209

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $240 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$204$158 to $234
FacilityA hospital or hospital-owned outpatient department$240$186 to $295

How much rates vary

Facilitymedian $240 · 10th to 90th $126 to $457Professionalmedian $204 · 10th to 90th $126 to $263
$1.0$10.0$100.0$1.0K$10.0Kfacility $240professional $204

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$239.88
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$263.03
Typical High
$537.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$177.83
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$194.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$177.83
Typical High
$177.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$239.88
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$199.53
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$131.83
Typical High
$199.53
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,995.26

Where North Carolina sits

The same service costs 4.2 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $209 · 14th of 51
HI $457DC $110

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.